Active NPI
Kitty Josette Stogner, PT, ATP
- Physical Therapist
- Brandon, MS
National Provider Identifier
1104873363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3204
- Practice address
- 521 Pelahatchie Shore Dr
Brandon, MS 39047-6282 - Phone
- (601) 613-7328
- NPI assigned
- May 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3204 | MS | Primary |
| Physical Therapist | 225100000X | PTH4728 | AL | |
| Physical Therapist | 225100000X | PT7497 | TN | |
| Physical Therapist | 225100000X | TP#06987R | LA |
Addresses
Primary practice location
521 Pelahatchie Shore Dr
Brandon, MS 39047-6282
Mailing address
521 Pelahatchie Shore Dr
Brandon, MS 39047-6282
Phone (601) 613-7328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08056277 | Medicaid | MS |
Other names 1
- Jodie Stogner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH4728 | AL | MD | Physical Therapist |
| TP#06987R | LA | MD | Physical Therapist |
| PT7497 | TN | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Brandon, MS
- NPI 1568555803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104873363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 PELAHATCHIE SHORE DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390476282",
"telephone_number": "601-613-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 PELAHATCHIE SHORE DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390476282",
"telephone_number": "601-613-7328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOGNER",
"first_name": "KITTY",
"middle_name": "JOSETTE",
"name_prefix": "Mrs.",
"credential": "PT, ATP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT3204",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH4728",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT7497",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "TP#06987R",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08056277",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JODIE",
"last_name": "STOGNER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.